HomeMy WebLinkAbout0007039-Plumbing (interior) 46) CITY OF OSHKOSH N° 07039
- PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS .282 y r - te f).-, PLAN NO.
OWNER &Gr i -P—z--Tc 6: , v (
DESIGNER d
USE /NATURE OF WORK 1 • _ /�� _ _ ... .z.f.. 14 57 �, rt"'2'z''
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR L / �a-7< - 4
4 BT / WH 4 Disp WSoft CBasin
3 Lav Sh DW DF San. Sewer
J WC / FDr SP Ur Storm Sewer
4 Sink ub Eject SS Water
Other / .S71 T✓r f)
FEES: Valuation $ �D Permit Fee Paid $ '1 1 5 4191-
Park Dedication $
ISSUED BY / Date .. Final /O.P. C
/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATUR u/ 6 2 8
p
AGENT /OWNER DATE
ADDRESS
TELEPHONE #
S&✓ PLUMBING PERMIT APPLICATION
ADDRESS ,2 C ' / / / /Ci; /r / /t^ DATE 4 Ti PERMIT # 67UJ�
OWNER l- � c;. 6c T. - ,,�� 7 d / r Z. PLUMBER (fit/ ,;f. r '-�
NATURE OF WORK f"C -' -
NEW RELAY REPAIR INTERIOR
SAN SEW i # ¥fr
WATER Bathtub t Catch Basin
STORM SEW Lavatory () Grease Trap
Toilet 111 Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink i Local Waste
Sink(other) Site Drain
fin e ex( / /l6' Shower � Laundry Stand pipe 1
Floor Drain 1 Laundry Tray
f. // ..����_ F Disposal i Wat. Softner
l Dishwasher' D. Fountain
Water Heater Ejector
I Urinals Future outlets
J ** Violation notes on reverse side
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